Application for Listhus Artist Residency Program

* This form works better in Chrome & Explorer browser. When your application is submitted successfully, you will get a confirmation message.* If the error occurs, please download the application form here: DOC / PDF, fill in and send to listhus@listhus.com with your CV and supportive files.

* Indicates required field

Name *

First

Last

Nationality *

Year of Birth (yyyy) *

Address *

Phone Number *

Skype a/c *

Website *

Main Disciplines *

Email *

When and How long would you like to stay?

long stay (min. 1 month) *

(1) month/year *

(2) month/year *

(3) month/year *

short stay (less than 1 month) *

(1) dd/mm/yyyy-dd/mm/yyyy *

(2) dd/mm/yyyy-dd/mm/yyyy *

(3) dd/mm/yyyy-dd/mm/yyyy *

Accommodation *

Listhus 10Listhus 12

working space *

private studioshared studiowithout studio

special need for working *

no special neededsound proofmusic studiodance practiceothers (state in your proposal)

Quietness *

super quietquietgeneral

Extra Guest with you (name/age/relationship) *

Extra Guest with you (name/age/relationship) *

Extra Guest with you (name/age/relationship) *

Your expectation of publicity *

Interaction & collaboration *

Your main intention during your stay *

Upload CV *

Max file size: 20MB

upload proposal *

Max file size: 20MB

Upload reference image 1 *

Max file size: 2 MB

Upload reference image 2 *

Max file size: 2 MB

Upload reference image 3 *

Max file size: 2 MB

Please check *

I read the FAQs on listhus.comI understand the condition & terms

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